What happened
On October 21, 2019, a Cirrus SR20, registration PR-ETJ, departed from Carlos Prates Aerodrome (SBPR) in Belo Horizonte, Brazil, bound for Ilhéus. Shortly after takeoff, the aircraft began losing altitude. The aircraft struck power poles and subsequently collided with parked and moving vehicles on a public road. The impact triggered a fire that destroyed the aircraft and spread to nearby vehicles and a storefront.
The aircraft's ballistic parachute (CAPS) was deployed by a passenger in the rear seat; however, the deployment occurred at an altitude too low to prevent the crash. The accident resulted in four fatalities: the pilot (who died two days later in the hospital), one passenger, and two individuals in a vehicle at the scene. Two other passengers sustained serious injuries.
The investigation
CENIPA investigators examined the aircraft's mechanical condition and operational parameters. The investigation revealed that the aircraft was operating outside of its established weight and balance limits. Furthermore, while the aircraft held a valid airworthiness certificate, the logbook records for the airframe, engine, and propeller were not up to date.
Technical analysis of the engine identified that a fuel distribution valve had been installed that did not match the required part number, and there was no documentation supporting this configuration. Investigators also found evidence of premature wear on internal engine components, suggesting improper maintenance. Additionally, a survivor reported that the aircraft's stall alarm sounded immediately after rotation and remained active throughout the flight path.
Findings
- The aircraft was operating above the maximum takeoff weight.
- The engine was performing below expected levels due to the use of unapproved components and improper maintenance.
- The ballistic parachute was activated at an altitude below the manufacturer's minimum recommended height, which prevented a successful recovery.
- The pilot's recent experience with this specific aircraft model could not be confirmed, potentially impacting the ability to manage the developing emergency.
- The engine's power output was insufficient to maintain flight given the combination of excess weight and degraded engine performance.